ABBEVILLE DENTISTRY - WASHINGTON ST PLLC (NPI# 1538548128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538548128 |
| Entity Type | Organization |
| Organization Name | ABBEVILLE DENTISTRY - WASHINGTON ST PLLC |
| Practice Address |
1915 S Washington St Unit 100 Amarillo TX 79109-2412 |
| Mailing Address |
Po Box 437169 Louisville KY 40253-7169 |
| Practice Telephone | 8065538400 |
| Mailing Telephone | 5022548537 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |
| Authorized Official Name | STEPHEN JAMES (CFO) |
| Authorized Official Telephone | 5022548500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
1915 S WASHINGTON ST UNIT 100 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79109-2412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003455098 | Pamela Dawn George | Counselor | 3807 S. Virginia, Amarillo, TX 79109 | 2019-12-23 |
| 1083251318 | Raeann Mask | Massage Therapist | 3501 W. 45th St, Suite T, Amarillo, TX 79109 | 2019-12-05 |
| 1962044941 | Donna Raef Kizziar | Nurse Practitioner | Bsa Urgent Care Clinic, 4510 Bell St., Amarillo, TX 79109 | 2019-10-11 |
| 1730734971 | Suzanne Marie Needham | Speech-Language Pathologist | 49112 Matador, Amarillo, TX 79109 | 2019-08-05 |
| 1477108686 | Danielle Denee' Coleman | Pharmacy Technician | 5807 Sw 45th Ave, Ste 100, Amarillo, TX 79109 | 2019-08-05 |
| 1245795780 | Monica Favela Prieto | Nurse Practitioner | Bsa Urgent Care Clinc, 4510 Bell St., Amarillo, TX 79109 | 2019-02-08 |
| 1598266439 | Catherine Cheyenne Wills | Behavior Technician | 6031 Bell Street, Amarillo, TX 79109 | 2018-02-26 |
| 1053828038 | Anisa Ann Rodriguez-espinoza | Behavior Technician | 6031 Bell, Amarillo, TX 79109 | 2017-12-29 |
| 1336656313 | Johnny Thomas Johansen | Behavior Technician | 6031 Bell St., Amarillo, TX 79109 | 2017-12-29 |
| 1821535683 | Daniel & Max, LLC | Optometrist | 3501 West I-40, Suite A, Amarillo, TX 79109 | 2017-01-31 |
| Find all providers in zip 79109 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203529 | Brynna Diller | Dentist | 7649 Hillside Rd Ste 100, Amarillo, TX 79119-8382 | 2020-07-29 |
| 1033771803 | Amy Stephenson | Dentist | 7649 Hillside Road, Suite 100, Amarillo, TX 79119 | 2019-07-02 |
| 1912405309 | Amarillo Smiles Pllc | Dentist | 802 E Amarillo Blvd Ste 300, Amarillo, TX 79107-5401 | 2018-01-31 |
| 1437671567 | Austin Argyle Whetten | Dentist | 6017 Hillside Rd Ste 200, Amarillo, TX 79109-7210 | 2017-07-11 |
| 1861851826 | Gabriela Pita | Dentist | 2602 S Kentucky St # 709, Amarillo, TX 79109-1721 | 2016-02-18 |
| 1508267675 | Lee Crawford | Dentist | 6017 Sw 45th Ave, Amarillo, TX 79109-5100 | 2014-09-09 |
| 1144621251 | Krantikumari Bellam | Dentist | 8801 Tarter Ave, Apt 304, Amarillo, TX 79119-6351 | 2014-09-08 |
| 1538575501 | Blaine Morris | Dentist | 4515 Van Winkle Dr, Amarillo, TX 79119-6423 | 2014-07-10 |
| 1588928733 | Jon K Ormson | Dentist | 4600 W I 40 Ste 201, Amarillo, TX 79106-5836 | 2012-07-02 |
| 1265706527 | W.l. Bullis, D.d.s.,p.c. | Dentist | 3409 S Georgia St, Ste 12, Amarillo, TX 79109-4844 | 2012-03-05 |
| Find all providers in AMARILLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.